{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T23:59:22Z","timestamp":1788479962229,"version":"build-2803163510"},"reference-count":11,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T00:00:00Z","timestamp":1697760000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>Pancreaticopleural fistula (PPF) is a rare but serious complication caused by pancreatic lesions that presents primarily with respiratory tract symptoms and pleural effusion. We report a paediatric case of PPF without any respiratory symptoms throughout the course of the disease, including cough or shortness of breath, with only a bulging chest as the first symptom. Imaging revealed a large left pleural effusion and Magnetic Resonance Cholangiopancreatography (MRCP) revealed a fistula formed between the pancreatic tail and the pleural cavity, which penetrated the diaphragm and opened in the central tendon of the diaphragm. The patient eventually underwent resection of the pancreatic tail lesion and repair of the diaphragmatic fistula and recovered soon thereafter.<\/jats:p>","DOI":"10.3389\/fped.2023.1278463","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T06:44:13Z","timestamp":1697784253000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: Pancreaticopleural fistula with an atypical tract in a child with bulging chest"],"prefix":"10.3389","volume":"11","author":[{"given":"Zi Yin","family":"Shang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun","family":"Hong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cui Fen","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,10,20]]},"reference":[{"key":"B1","first-page":"151","article-title":"Bilateral pancreaticopleural fistula in an infant: a rare complication of chronic relapsing pancreatitis","volume":"43","author":"Takeda","year":"2013","journal-title":"Kitasato Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1097\/MPG.0b013e31829e0bb6","article-title":"Endoscopic retrograde cholangiopancreatography in the pediatric population is safe and efficacious","volume":"57","author":"Enestvedt","year":"2013","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e26","DOI":"10.1097\/MPA.0b013e3181870ad5","article-title":"Pancreaticopleural fistula","volume":"38","author":"Ali","year":"2009","journal-title":"Pancreas"},{"key":"B4","doi-asserted-by":"publisher","first-page":"190","DOI":"10.11622\/SMEDJ.2013071","article-title":"Diagnosis and management of pancreaticopleural fistula","volume":"54","author":"Tay","year":"2013","journal-title":"Singap Med J"},{"key":"B5","doi-asserted-by":"publisher","first-page":"90","DOI":"10.6092\/1590-8577\/2915","article-title":"Pancreaticopleural fistula: a review","volume":"16","author":"Aswani","year":"2015","journal-title":"JOP"},{"key":"B6","first-page":"56","article-title":"Pancreaticopleural fistula of different origin: report of two cases and a review of literature","volume":"76","author":"Wypych","year":"2011","journal-title":"Pol J Radiol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"5718","DOI":"10.3748\/wjg.v26.i37.5718","article-title":"Endoscopic retrograde cholangiopancreatography in the treatment of pancreaticopleural fistula in children","volume":"26","author":"Zhang","year":"2020","journal-title":"World J Gastroenterol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1089\/sur.2015.156","article-title":"Pancreaticopleural Fistula","volume":"17","author":"Virgilio","year":"2016","journal-title":"Surg Infect (Larchmt)"},{"key":"B9","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1016\/j.surg.2009.03.024","article-title":"Pancreatic-pleural fistula is best managed by early operative intervention","volume":"147","author":"King","year":"2010","journal-title":"Surgery"},{"key":"B10","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1016\/S1499-3872(12)60151-9","article-title":"Pancreaticpleural fistula: etiology, treatment and long-term follow-up","volume":"11","author":"Roberts","year":"2012","journal-title":"Hepatobiliary Pancreat Dis Int"},{"key":"B11","doi-asserted-by":"publisher","first-page":"4696","DOI":"10.3748\/wjg.v17.i42.4696","article-title":"Optimizing manager of pancreaticpleural fistula","volume":"17","author":"Wronski","year":"2011","journal-title":"World J Gastroenterol"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2023.1278463\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T16:20:34Z","timestamp":1698682834000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2023.1278463\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,20]]},"references-count":11,"alternative-id":["10.3389\/fped.2023.1278463"],"URL":"https:\/\/doi.org\/10.3389\/fped.2023.1278463","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,20]]},"article-number":"1278463"}}